New FDA Study Seeks Feedback on Lasik Surgery

Warnings issued to 17 centers for lax reporting of procedure-related adverse events

Posted: October 16, 2009

FRIDAY, Oct. 16 (HealthDay News) -- The percentage of patients who experience serious quality-of-life problems after Lasik eye surgery is being studied by the U.S. Food and Drug Administration, which has also issued warning letters to a number of Lasik facilities that weren't properly reporting problems with the procedure.

The FDA study, which will also identify factors that predict quality-of-life problems in Lasik patients, has three phases. Phase 1, launched in July 2009, involves the design and launch of a Web-based questionnaire to assess patient-reported outcomes and evaluate quality-of-life issues after the laser-assisted eye surgery.

Phase 2 will examine quality of life and satisfaction among patients treated at the Navy Refractive Surgery Center, and phase 3 will be a national, multi-center clinical trial to study quality of life after Lasik among the general population.

"This study will enhance our understanding of the risks of Lasik and could lead to a reduction in patients who experience adverse effects from the procedure," Dr. Jeffrey Shuren, acting director of the FDA's Center for Devices and Radiological Health, said in an agency news release.

If the study identifies any problems with the safety or effectiveness of the lasers used in Lasik surgery, the agency will evaluate whether any action is necessary.

In related news, the FDA also noted in the release that it issued warning letters to 17 Lasik ambulatory surgical centers after inspections revealed that the centers had inadequate systems for reporting problems suffered by patients. The types of problems were specified.

"Many people in the U.S. undergo Lasik procedures. Ambulatory surgical centers that perform Lasik must maintain a robust reporting system as required by law," Shuren said in the news release. "Reporting adverse events to the FDA is critical to better understand the safety and effectiveness of ophthalmic lasers used in Lasik procedures and to enable the FDA to take appropriate actions where the lasers do not meet safety and effectiveness requirements."

More information

The FDA has more about Lasik eye surgery.

Current Lasik Patient Survey

Preliminary results of the USAEyes CORE Lasik patient survery was presented to an FDA hearing on quality of life issues after Lasik. According to the patients surveyed:

* 99% report quality of life as expected, better, or much better

* 98% day vision as expected, better, or much better

* 98% no complications or issues are seldom problematic

* 98% would recommend surgery to family and friends.

* 97% would have surgery again, knowing what they know now

* 96% wear corrective lenses as often as expected, less, or much less than expected

* 96% report postop vision without lenses as expected, better, or much better than expected when compared to preop vision with lenses

* 96% report overall quality of vision as expected, better, or much better than expected

* 91% no complications at any time

* 91% night vision as expected, better, or much better

* 7% complications seldom problematic

– yet 91% of these same patients would have surgery again

* 2% complications frequent or always problematic

– yet 22% of f these same patients would have surgery again

Glenn Hagele

Volunteer Executive Director

Council for Refractive Surgery Quality Assurance

USAEyes.org

Glenn Hagele of CA @ Dec 18, 2009 00:34:42 AM

Spread the message, do not get Lasik surgery:

After my lasik surgery I had a 45 day migraine, then I had a second surgery and have had a headache in my forehead behind my eyes ever since. Ironically, I know wear glasses again! And Dr. Nevyes of Bala Cynwd, Pennsylvania said there is "nothing that he can do for me". Of course not, he already has my money.

It has been 3 years now since I had Lasik surgery. Today I need to wear a pair of glasses from the moment I wake to the moment I go to sleep. If I do not wear them, even for an hour, I am overcome with the worst headache of my life, everyday! Can you imagine trying to go through life with a constant headache everyday? I am suffering and those close to me are suffering too because of my choice to have the surgery. So join the anti-Lasik group, do not join the group that regrets and feels the harsh consequences of Lasik surgery. Forward this, post it wherever you can on the internet. I am in the process of having a more detailed version of this message posted in the philadelphia and surrounding suburbs newspapers. I have some friends who can make this possible.

adam of PA @ Dec 11, 2009 23:28:35 PM

Lasik Survey

I would very much like to take part in this survey as well. Where do I sign up?

Liz Dil of KS @ Nov 12, 2009 12:28:18 PM

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